Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is an effective method for managing hypertrophic nails?

1. Dremel before trimming

2. Soak in warm water

3. Apply ointment daily

4. Cut only the tips

The correct answer is: Dremel before trimming

Using a Dremel tool before trimming is an effective method for managing hypertrophic nails primarily because it helps to reduce the thickness of the nails before any trimming takes place. This technique allows for a more precise and safer cutting process, minimizing the risk of causing pain or injury. The Dremel can smoothen out the surface and edges of thickened nails, which can be particularly beneficial for patients with conditions that cause nail hypertrophy. While soaking in warm water can assist in softening the nails and the surrounding tissue, it might not provide as much precision and effectiveness as using a Dremel. Applying ointment daily could improve the condition of the surrounding skin but does not directly address the thickened nail itself. Cutting only the tips of hypertrophic nails may provide temporary relief, but it does not address the underlying thickness and could lead to further complications if not managed properly.